Active NPI
Hiland'S Thirteen Inc.
- Community/Retail Pharmacy
- Burley, ID
National Provider Identifier
1942996871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- HILAND'S THIRTEEN INC.
- Practice address
- 1300 Hiland Ave
Burley, ID 83318 - Phone
- (208) 878-3278
- Fax
- (208) 544-5730
- NPI assigned
- Apr 13, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Steven L Borden, PHARMD
- Title
- President
- Phone
- (208) 260-1983
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
1300 Hiland Ave
Burley, ID 83318
Mailing address
1300 Hiland Ave
Burley, ID 83318
Phone (208) 878-3278
Other names 1
- The Pharmacy on Hiland
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230811001525 | ID | Part B Supplier - Pharmacy | 0143682823 | Practice locations: Burley, ID |
| O20240812003775 | ID | DME Supplier - Pharmacy | 0143682823 | Practice locations: Burley, ID |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 13D2283377 | Hiland'S Thirteen Inc | Certificate of waiver | Jun 6, 2027 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| The Pharmacy on Hiland | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Accepts assignment |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Burley, ID
- NPI 1295027209
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681344000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1689811200000",
"number": "1942996871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 HILAND AVE",
"city": "BURLEY",
"state": "ID",
"postal_code": "83318",
"telephone_number": "208-878-3278",
"fax_number": "208-544-3278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 HILAND AVE",
"city": "BURLEY",
"state": "ID",
"postal_code": "83318",
"telephone_number": "208-878-3278",
"fax_number": "208-544-5730"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HILAND'S THIRTEEN INC.",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-13",
"last_updated": "2023-07-20",
"certification_date": "2023-07-20",
"status": "A",
"authorized_official_last_name": "BORDEN",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "208-260-1983",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The Pharmacy on Hiland",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "The Pharmacy on Hiland",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Burley, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.